Advertisement

Applicability of the Wall Goniometer in Parkinson's disease

      Postural abnormalities are frequent and disabling motor complications of Parkinson's disease or atypical parkinsonism [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ]. These impairment cause significant disability and may affect the quality of life [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ]. Postural abnormalities include camptocormia, anterocollis, and Pisa syndrome, which may occur either isolated or combined [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ,
      • Tinazzi M.
      • Gandolfi M.
      • Ceravolo R.
      • Capecci M.
      • Andrenelli E.
      • Ceravolo M.G.
      • Bonanni L.
      • Onofrj M.
      • Vitale M.
      • Catalan M.
      • Polverino P.
      • Bertolotti C.
      • Mazzucchi S.
      • Giannoni S.
      • Smania N.
      • Tamburin S.
      • Vacca L.
      • Stocchi F.
      • Radicati F.G.
      • Artusi C.A.
      • Zibetti M.
      • Lopiano L.
      • Fasano A.
      • Geroin C.
      Postural abnormalities in Parkinson's disease: an epidemiological and clinical multicenter study.
      ]. Camptocormia is used to describe an involuntary and marked flexion of the thoracolumbar spine, characterized by a forwarding trunk bending of at least 30° at the lumbar fulcrum and/or at least 45° at the thoracic fulcrum [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ,
      • Fasano A.
      • Geroin C.
      • Berardelli A.
      • Bloem B.R.
      • Espay A.J.
      • Hallett M.
      • Lang A.E.
      • Tinazzi M.
      Diagnostic criteria for camptocormia in Parkinson's disease: a consensus-based proposal.
      ]. Antecollis refers to forwarding flexion of the head and neck of at least 45° [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ,
      • Tinazzi M.
      • Gandolfi M.
      • Ceravolo R.
      • Capecci M.
      • Andrenelli E.
      • Ceravolo M.G.
      • Bonanni L.
      • Onofrj M.
      • Vitale M.
      • Catalan M.
      • Polverino P.
      • Bertolotti C.
      • Mazzucchi S.
      • Giannoni S.
      • Smania N.
      • Tamburin S.
      • Vacca L.
      • Stocchi F.
      • Radicati F.G.
      • Artusi C.A.
      • Zibetti M.
      • Lopiano L.
      • Fasano A.
      • Geroin C.
      Postural abnormalities in Parkinson's disease: an epidemiological and clinical multicenter study.
      ]. Pisa syndrome is defined as a marked lateral bending of the trunk of at least 10° [
      • Doherty K.M.
      • van de Warrenburg B.P.
      • Peralta M.C.
      • Silveira-Moriyama L.
      • Azulay J.-P.
      • Gershanik O.S.
      • Bloem B.R.
      Postural deformities in Parkinson's disease.
      ,
      • Barone P.
      • Santangelo G.
      • Amboni M.
      • Pellecchia M.T.
      • Vitale C.
      Pisa syndrome in Parkinson's disease and parkinsonism: clinical features, pathophysiology, and treatment.
      ,
      • Tinazzi M.
      • Fasano A.
      • Geroin C.
      • Morgante F.
      • Ceravolo R.
      • Rossi S.
      • Thomas A.
      • Fabbrini G.
      • Bentivoglio A.
      • Tamma F.
      • Cossu G.
      • Modugno N.
      • Zappia M.
      • Volonte M.A.
      • Dallocchio C.
      • Abbruzzese G.
      • Pacchetti C.
      • Marconi R.
      • Defazio G.
      • Canesi M.
      • Cannas A.
      • Pisani A.
      • Mirandola R.
      • Barone P.
      • Vitale C.
      Pisa syndrome in Parkinson disease: an observational multicenter Italian study.
      ]. The development of these postural abnormalities can cause severe and irreversible mechanical constraints (i.e., marked lateral and/or forward flexion), affecting postural stability and are associated with increased risk of falling [
      • Barone P.
      • Santangelo G.
      • Amboni M.
      • Pellecchia M.T.
      • Vitale C.
      Pisa syndrome in Parkinson's disease and parkinsonism: clinical features, pathophysiology, and treatment.
      ,
      • Tinazzi M.
      • Fasano A.
      • Geroin C.
      • Morgante F.
      • Ceravolo R.
      • Rossi S.
      • Thomas A.
      • Fabbrini G.
      • Bentivoglio A.
      • Tamma F.
      • Cossu G.
      • Modugno N.
      • Zappia M.
      • Volonte M.A.
      • Dallocchio C.
      • Abbruzzese G.
      • Pacchetti C.
      • Marconi R.
      • Defazio G.
      • Canesi M.
      • Cannas A.
      • Pisani A.
      • Mirandola R.
      • Barone P.
      • Vitale C.
      Pisa syndrome in Parkinson disease: an observational multicenter Italian study.
      ]. Therefore, tools to evaluate these postural abnormalities can help clinicians and researchers in the diagnosis and goal-directed treatment of people with Parkinson's disease.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Parkinsonism & Related Disorders
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Doherty K.M.
        • van de Warrenburg B.P.
        • Peralta M.C.
        • Silveira-Moriyama L.
        • Azulay J.-P.
        • Gershanik O.S.
        • Bloem B.R.
        Postural deformities in Parkinson's disease.
        Lancet Neurol. 2011; 10: 538-549https://doi.org/10.1016/S1474-4422(11)70067-9
        • Tinazzi M.
        • Gandolfi M.
        • Ceravolo R.
        • Capecci M.
        • Andrenelli E.
        • Ceravolo M.G.
        • Bonanni L.
        • Onofrj M.
        • Vitale M.
        • Catalan M.
        • Polverino P.
        • Bertolotti C.
        • Mazzucchi S.
        • Giannoni S.
        • Smania N.
        • Tamburin S.
        • Vacca L.
        • Stocchi F.
        • Radicati F.G.
        • Artusi C.A.
        • Zibetti M.
        • Lopiano L.
        • Fasano A.
        • Geroin C.
        Postural abnormalities in Parkinson's disease: an epidemiological and clinical multicenter study.
        Mov. Disord. Clin. Pract. 2019; 6: 576-585https://doi.org/10.1002/mdc3.12810
        • Fasano A.
        • Geroin C.
        • Berardelli A.
        • Bloem B.R.
        • Espay A.J.
        • Hallett M.
        • Lang A.E.
        • Tinazzi M.
        Diagnostic criteria for camptocormia in Parkinson's disease: a consensus-based proposal.
        Park. Relat. Disord. 2018; 53: 53-57https://doi.org/10.1016/j.parkreldis.2018.04.033
        • Barone P.
        • Santangelo G.
        • Amboni M.
        • Pellecchia M.T.
        • Vitale C.
        Pisa syndrome in Parkinson's disease and parkinsonism: clinical features, pathophysiology, and treatment.
        Lancet Neurol. 2016; 15: 1063-1074https://doi.org/10.1016/S1474-4422(16)30173-9
        • Tinazzi M.
        • Fasano A.
        • Geroin C.
        • Morgante F.
        • Ceravolo R.
        • Rossi S.
        • Thomas A.
        • Fabbrini G.
        • Bentivoglio A.
        • Tamma F.
        • Cossu G.
        • Modugno N.
        • Zappia M.
        • Volonte M.A.
        • Dallocchio C.
        • Abbruzzese G.
        • Pacchetti C.
        • Marconi R.
        • Defazio G.
        • Canesi M.
        • Cannas A.
        • Pisani A.
        • Mirandola R.
        • Barone P.
        • Vitale C.
        Pisa syndrome in Parkinson disease: an observational multicenter Italian study.
        Neurology. 2015; 85: 1769-1779https://doi.org/10.1212/WNL.0000000000002122
        • Ando Y.
        • Fujimoto K.-I.
        • Ikeda K.
        • Utsumi H.
        • Okuma Y.
        • Oka H.
        • Kamei S.
        • Kurita A.
        • Takahashi K.
        • Nogawa S.
        • Hattori N.
        • Hirata K.
        • Fukui T.
        • Yamazaki K.
        • Yamamoto T.
        • Yoshii F.
        Postural abnormality in Parkinson's disease: a large comparative study with general population.
        Mov. Disord. Clin. Pract. 2019; 6: 213-221https://doi.org/10.1002/mdc3.12723
        • Artusi C.A.
        • Bortolani S.
        • Merola A.
        • Zibetti M.
        • Busso M.
        • De Mercanti S.
        • Arnoffi P.
        • Martinetto S.
        • Gaidolfi E.
        • Veltri A.
        • Barbero P.
        • Lopiano L.
        Botulinum toxin for Pisa syndrome: an MRI-, ultrasound- and electromyography-guided pilot study.
        Park. Relat. Disord. 2019; 62: 231-235https://doi.org/10.1016/j.parkreldis.2018.11.003
        • Kataoka H.
        • Ueno S.
        Can postural abnormality really respond to levodopa in Parkinson's disease?.
        J. Neurol. Sci. 2017; 377: 179-184https://doi.org/10.1016/j.jns.2017.04.025
        • Margraf N.G.
        • Wolke R.
        • Granert O.
        • Berardelli A.
        • Bloem B.R.
        • Djaldetti R.
        • Espay A.J.
        • Fasano A.
        • Furusawa Y.
        • Giladi N.
        • Hallett M.
        • Jankovic J.
        • Murata M.
        • Tinazzi M.
        • Volkmann J.
        • Berg D.
        • Deuschl G.
        Consensus for the measurement of the camptocormia angle in the standing patient.
        Park. Relat. Disord. 2018; 52: 1-5https://doi.org/10.1016/j.parkreldis.2018.06.013
        • Tinazzi M.
        • Geroin C.
        • Gandolfi M.
        • Smania N.
        • Tamburin S.
        • Morgante F.
        • Fasano A.
        Pisa syndrome in Parkinson's disease: an integrated approach from pathophysiology to management.
        Mov. Disord. 2016; 31: 1785-1795https://doi.org/10.1002/mds.26829
        • Tinazzi M.
        • Gandolfi M.
        • Artusi C.A.
        • Lanzafame R.
        • Zanolin E.
        • Ceravolo R.
        • Capecci M.
        • Andrenelli E.
        • Ceravolo M.G.
        • Bonanni L.
        • Onofrj M.
        • Telese R.
        • Bertolotti C.
        • Polverino P.
        • Manganotti P.
        • Mazzucchi S.
        • Giannoni S.
        • Vacca L.
        • Stocchi F.
        • Casali M.
        • Zibetti M.
        • Lopiano L.
        • Fasano A.
        • Geroin C.
        Validity of the wall goniometer as a screening tool to detect postural abnormalities in Parkinson's disease.
        Park. Relat. Disord. 2019; https://doi.org/10.1016/j.parkreldis.2019.10.024
        • Song W.
        • Guo X.
        • Chen K.
        • Huang R.
        • Zhao B.
        • Cao B.
        • Chen Y.
        • Shang H.-F.
        Camptocormia in Chinese patients with Parkinson's disease.
        J. Neurol. Sci. 2014; 337: 173-175https://doi.org/10.1016/j.jns.2013.12.004